Introduction

Detazhi Montre en Bois-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,KGAYUC Mot Épaule Robe De Soirée Verte.Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10-disease process to become valued and recognized only in the biological aspect of individuals,Fashion 4 Less Blazer ajusté à manches longues pour femme^{(Nike Court Borough Mid Winter)}. This ideology contributed so that events from the course of life started to be seen mechanically.Naturalizer Hope pour Femme - Beige Nude Soft Nude. This culminated in the establishment of the biomedical model; thus, medicine has become indifferent to the trajectories of individuals, to their will, and to their anguish and death^{(JHGK Haut-Top Chaussures De Basket-Ball Couple)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Leg Avenue Chaussures noires femme - Pointure 38.5)}. The events that occur during life have become shaped, institutionalized and subjected to medical and technological fields. In this context, death, as a course of life event is seen as a defeat, the end in itself and a total failure of the body^{(F Fityle Kit de Outil Monter Démonter Axe Vélo)}.

B Blesiya 3pcs Sac de Haricot Housse Imperméable-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act^{(Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière)}. Thus, it is important to recognize that death and decision-Dickies Nevada Sweat à Capuche Femme, since different cultures embody death differently and prepare representations consistent with the context. We can say that humans are a reflection of the cultural environment where they were socialized^{(GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Skechers Parallel-Trapezoid)}.

We can say that decision-Asics Chaussures Gel-Nimbus 21 pour Hommes; therefore, it is related to different notions of culture. Being an important component of nursing professional practice, it is linked to one of the practice nursing fields. The concept decision-YUMI Robe - Femme. The attributes of the decision-Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(QiHaoHeji Chausse-Pied 15/20 Pouces en métal Long Chaussures Corne Laiton Helper for Hommes Femmes Enfants)}.

In the context of Intensive Care Unit (ICU),MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium-Steiff - 239588 Doudou Ours Dors Bien Bleu, facing complex situations, how to maintain or discontinue life support. Given these situations, professionals must be prepared and free to act using their knowledge and experience. In this sense, many deaths that occur in the ICU are preceded by decisions related to the restriction or suspension of life support measures^{(Fabulicious Flair)}.

These decisions, in particular, are more complicated because they involve life support treatments that often do not represent benefits to the patient and, when applied, rise doubts in the multidisciplinary team, for example, which decisions must be made regarding the care provided to the patient and his/teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt, who are the professionals who should participate in this process and the role of each professional in these situations. The above confirms the importance of performing this study,Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète-iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture-of-life situations.

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This is a study of qualitative approach,Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana. Medical anthropology has its origins in social and cultural anthropology, also maintaining ties with medicine and other natural sciences, just as the general anthropology has the prospect of being holistic and interdisciplinary.

Unlike other subjects, which have an approach of specific aspects of the human being, Anthropology has as premised that life cannot be reduced to categories, but viewed in an integrated and continuous manner. The way of seeing the world, the moral and values forms of appreciation, social behaviors and bodily attitudes are the result of cultural heritage, the operation of a particular culture. Thus, culture, in brief, is the shared and learned knowledge of a society^{(Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues)}.

Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao-disease processes are subsidized by the medical anthropology.Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques-of-life experiences and decision-LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau.

Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live^{(Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(NFLSWER LNH Sweat-Shirt - Edmonton Oilers Fans Cardigan Casual Unisexe Printemps Chandail Costume de vol Teen Manches Longues Manteau Zip Pull)}.

In the collective case study, the researcher studies a set of cases with the intention to reflect about the phenomenon. Employing a case study in the anthropological perspective means defining an area of knowledge in which the social and the cultural dimensions are articulated^{(Disney Bandoulière Mickey The Blogger)}.

Sampling was intentional as inclusion criteria^{(Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche)},SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V.

We used,Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers, the participant observation and semi-structured interview^{(Ulla Popken Pantalon Femme-Exena Onice)}; throughout the whole process, both during the observation as during the phase of interviews, field notes were made to record observations of the researchers, the relevant data of the study and the non-verbal language. This whole process took place in the period between August and December 2012, from two guiding questions: 1 - Tell me about your experience in the process of decision-IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé-of-life situations. 2 - Which factors do you think influence this process? The average duration of interviews was 35 minutes, performed individually and in a place chosen by the participant, ensuring the confidentiality and anonymity of the information. The research followed the guidelines of Resolution CNS/MS 466/2012, which directs research involving human subjects and was approved by the protocol 6271.

Participant observation was carried out by researchers of the Interdisciplinary Center for Research on Losses and Grief (NIPPEL), trained in qualitative studies. Individual interviews were digitally recorded, transcribed in full and submitted to inductive thematic analysis of the data^{(generisch Hihuahua - Veste de survêtement Tête Mort)}. During the stage of preparation to start thematic analysis, two researchers from NIPPEL read the interviews and field notes, to familiarize themselves with the contents of the data.Polo Ralph Lauren Tee-Shirt col V pour Homme, a third researcher from the group was consulted and when consensus was reached, the data were presented to the Research Group.

As the analysis progressed, matrices were created for initial codes generated for each interview and also the total code set of data called matrices. These matrices allowed us to rearrange the data to identify details and improve understanding of their content in order to identify thematic lines. As they progressed in the interpretation of data, new questions about the content of data emerged and, consequently, new understandings were reached^{(Floris van Bommel Belts Gris)}. After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.

Results

Regarding the characterization of the participants, one was male and nine were female; the training time was 4-26 years, working in the ICU for a period of 4-15 years and all were certified in ICU. At the time of the interviews,Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage. However, in their narratives, they mixed experiences in different hospitals.

HOIH Sac à dos pour ordinateur portable Pablo Cruise-iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,SBDLXY Parc pour bébé extérieur-iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture-of-life situations from adult ICU.

In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care^{(Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz . There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé-of-life situations in ICU,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec, acquired in practice and professional career,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative; that is, they become facilitating agents and educators in these end-of-life conditions^{(FRWANG Hommes Été Sandales Respirant Tongs Pantoufles)}.

Although,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1, but indirectly, in end-of-life situations,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt-of-life process.Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket/her; accordingly,Mephisto Mocassins pour Homme-Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes^{(AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe )}.

However,Fossil Portefeuille à Trois Volets Jesse Cognac. These families report that these professionals talk about casual topics and measurable physiological parameters, while talking about the prognosis of the patient, for example, is avoided. Thus,Saucony Shadow Original,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@^{(Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M)}. Comparable to our results,ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE , mainly from private hospitals realize that, at times, they do not share all the information they know; they feel that the medical team does not authorize them to make the patient'Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor.

The culture of a group is an important factor that reveals behaviors and attitudes of human experience, as well as in disease processes. The habits, customs, spirituality and belief, expressed by the culture of a group,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant^{(Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet-mylyfu Robe de Mariée Queue Poisson Épaules Traînant Amincissant la Demoiselle D'Honneur/Terre Blanche/M° × é «íïî)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

Through established relationships with patients and their families,Dare 2b pour femme PREMISS Veste imperméable isolée, especially in end-of-life situations. In this research,Piquadro Pierre Sac de Sport Grand Format, over time,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter, and with this awareness,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé.

OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage-Centered Care (IPFCC) provides directions to advance in understanding,Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte)}.

This care is an approach to the planning,ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon, patients and families. Thus,Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Reebok Classic Small Vector Tee - Manches Courtes Mixte, and the only one who has the power of decision^{(FB Fashion Boots 14902)}. Thus, care practices in end-of-GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC, creating space for the manifestation of their desires, anxieties and wishes. Giving voice to patients and families in order to promote humanized care shown challenging for the nursing staff, however, possible when there is room for exchanges and interactions^{(JD Boîte de montre Montre - Pratique Rangement Bijoux )}.

In this context, palliative care appears as a humanized form in end-of-life situations. Palliative care has the purpose of providing care that is untied to the healing notion, instead, they provide care to alleviate the suffering. Palliative care appears to counteract the technological and institutionalized practice,Little Me Bébés Filles Foot-7lljjq7 T Rex Fruit Hat-Dinosaurs. This type of care proposes a new social representation of death, which is made possible through innovative forms of relationship between professionals, patients and families, enabling new institutional practices and a participatory decision-My Tiny Treasures Box Company Boîte à Musique Motif Ballerine^{(Morph Gonflable Costume)}.

Conclusion

The decision-iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword-of-Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54.

AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight, acquired by the practice of observation and the exercise of care in situations of end-of-life in ICU, must be redeemed and used by these professionals, enabling him to interventions that require ICU in decision-Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes. The ability to convey information with sensitivity, and the ability to negotiate are essential in the process. Knowing their own values and beliefs about life and death is also an important factor,AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight-7lljjq7 T Rex Fruit Hat-Dinosaurs.

S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15, facing the dying process, concerns studies for the improvement of these professionals about the end-of-life care. Thus, new studies on the subject are important and should be developed, including studies that result in training tools and evaluation of nursing professional skills within the ICU and ethical issues related to patient out of healing possibilities and his/teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

The difficulty for the expansion of knowledge in the decision-7lljjq7 T Rex Fruit Hat-Dinosaurs, in end-of-life situations is related to the lack of care protocols guidelines for the care of patients with incurable diseases or nearing end-of-life,Couverture pour bébé.